Jennifer S Proctor, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

15-00984 Issued in KS

Practice address

3901 Rainbow Blvd MSC 3010
Kansas City, KS 66160-0001

Phone

(913) 588-6719

Fax

(913) 588-4676

NPI assigned

Dec 19, 2006

Last updated

Oct 22, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
• University of Kansas Health System Olathe Hospital Hospital, Olathe, KS, CCN 170049

Merit-based Incentive Payment System (MIPS)

Final score

92.91 of 100Reported as apm

Quality

77.02

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/fca878a1-6c97-4ecb-b6e7-eb5d7cde15ab/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kansas University Physicians Inc

  • Internal Medicine Physician
  • Kansas City, KS
  • NPI 1003858333
  Medicare reassignment Care Compare group
• Kansas University Physicians Inc

  dba KU Otolaryngic Foundation

  • Otolaryngology Physician
  • Kansas City, KS
  • NPI 1346386265
  NPD
• Kansas University Physicians Inc

  • Cardiovascular Disease Physician
  • Kansas City, KS
  • NPI 1407637291
  NPD
• Kansas University Physicians Inc

  dba KU Internal Medicine

  • Internal Medicine Physician
  • Kansas City, KS
  • NPI 1699811521
  NPD (past)
• HH Health System - the Orthopaedic Center, LLC

  dba The Orthopaedic Center

  • Orthopaedic Surgery Physician
  • Huntsville, AL
  • NPI 1376220822
  NPD (past)
• The Orthopaedic Center

  • Orthopaedic Surgery Physician
  • Huntsville, AL
  • NPI 1205880291
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Olathe Medical Center Inc

  • General Acute Care Hospital
  • Olathe, KS
  • NPI 1144266115
  Care Compare affiliation
• University of Kansas Hospital Authority

  dba University of Kansas Hospital / University of Kansas Cancer Center

  • General Acute Care Hospital
  • Kansas City, KS
  • NPI 1629369681
  Care Compare affiliation
• University of Kansas Hospital Authority

  dba The University of Kansas Hospital

  • General Acute Care Hospital
  • Kansas City, KS
  • NPI 1649259656
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445472000000",
    "number": "1437212594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411851",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641411851",
            "telephone_number": "913-588-6701",
            "fax_number": "913-588-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD MSC 3010",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661600001",
            "telephone_number": "913-588-6719",
            "fax_number": "913-588-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCTOR",
        "first_name": "JENNIFER",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2015-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "15-00984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200266580A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Ray Pringle, DPT, ATC
• Michael Pritchett, MD
• Stephan L Pro, M.D.
• Procare Pharmacy, L.L.C. (CarePlus CVS/pharmacy 02858)
• Katherine Louise Proch, MD
• Professional Rehabilitative Services,Inc.,P.a.
• Jennifer Ann Prohaska, PH.D.
• Luke Prohaska
• Promohispano Inc. (Eye Care Optical)
• Prospera, LLC.

• Medical Physician Assistant in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Medical Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.